MDS PREP
The primary airway hazard for an unconscious patient in a supine position is
1) Tongue obstruction
2) Bronchospasm
3) Laryngospasm
4) Aspiration
Oral Surgery
Answer: 1
In an unconscious patient lying supine, the tongue can fall back and obstruct
the airway due to loss of muscle tone. This is the most common airway hazard in
this position.
Rapid onset of action seen by local anaesthesia in small nerve endings is due to
1. Increased threshold of small nerves due to depolarization
2. Low pH of small nerve fibres
3. High ratio of surface area to the volume of small nerve fibres
4. None of the above
Oral Surgery
Answer: 3
Rapid onset of action seen by local anaesthesia in small nerve endings is due to the high ratio of surface area to the volume of small nerve fibres.
Usually hydrolysis of amide type of local anaesthetic salts is facilitated by
1. Tissue pH above 7.0
2. Tissue pH between 5.0 and 7.0
3. Tissue pH below 5.0
4. None of the above
Oral Surgery
Answer: 1
Hydrolysis of amide type of local anaesthetic salts is facilitated by tissue pH above 7.0.
Among the following which is advantage of sagittal split osteotomy over transoral vertical subcondylar osteotomy
1) Greater mandibular movement is achieved
2) Because it is intraoral procedure. No external scar is produced
3) Alone may be used to correct a mandibular retrognathism and prognathism
4) Less chance of injuring the inferior dental canal
Oral Surgery
Answer: 3
Among the given choices, the advantage of a sagittal split osteotomy over a transoral vertical subcondylar osteotomy is that it allows for greater mandibular movement. The sagittal split osteotomy is a surgical technique used in orthognathic surgery to reposition the mandible in cases of severe skeletal discrepancies. It involves splitting the mandible along the midline and moving the two halves apart, which can provide significant advancement or setback of the lower jaw. This technique may be used to correct both mandibular prognathism and retrognathism, making it a versatile option in orthognathic surgery. Additionally, it is associated with fewer complications compared to the transoral vertical subcondylar osteotomy, which involves cutting through the medullary bone of the condyle and can pose a higher risk of injury to the facial nerve and other vital structures. However, it's important to note that the choice of surgical approach is determined by the specific case and the individual patient's needs.
Alpha adrenergic agonists are used in combination with local anaesthetics to
1) Increase the rate of liver metabolism of local anaesthetic
2) Increase the concentration of LA at receptor site
3) Both the above
4) None of the above
Oral Surgery
Answer: 2
Increase the rate of liver metabolism of local anesthetic: Alpha adrenergic agonists, such as epinephrine, are often added to local anesthetics to enhance their effectiveness. They achieve this by causing vasoconstriction at the injection site, which reduces bleeding and increases the duration of anesthesia. However, they do not directly increase the concentration of LA at the receptor site or alter liver metabolism. Therefore, the correct answer is 2) Increase the concentration of LA at receptor site.
The Caldwell-Luc operation is performed on the
1. maxillary sinus
2. temporal space
3. frontal sinus
4. pharynx
Oral Surgery
Answer: 1
Caldwell-Luc Operation
The Caldwell-Luc operation is a surgical procedure
performed to access the maxillary sinus. It is often used to treat chronic
sinusitis or to remove cyst s or tumors from the maxillary sinus. The
procedure involves creating an opening in the canine fossa to allow drainage
and access to the sinus cavity. The other options listed do not pertain to
this specific surgical intervention.
Of the following conditions where acrylic splints are advisable during the postoperative phase of management
1) Torus palatinus reduction
2) Mental tubercle reduction
3) Mandibular alveoplasty
4) None of the above
Oral Surgery
Answer: 1
Torus palatinus reduction involves removing a bony prominence from the palate. Acrylic splints provide stabilization, protect the surgical site, and prevent hematoma formation. Other conditions like mandibular alveoplasty do not require splints for similar reasons.
In children jaw fractures are normally immobilized for
1. 3 months
2. 6-8 weeks
3. 3-4 weeks
4. 5-10 days
Oral Surgery
Answer: 3
In children, the healing process for fractures is faster due to the high vascularity and rapid bone turnover in growing tissues. Mandibular fractures in children are typically immobilized for a shorter duration compared to adults, as prolonged immobilization can interfere with the growth of the jaw. Immobilization for 3-4 weeks is generally sufficient to allow proper healing without compromising growth.